Laser Skin Rejuvenating & Resurfacing
External (sun rays, wind …) and internal (chronological aging, dietary habits) factors over time begin to damage the soft tissue layers and structural integrity of the face. These skin changes are reflected in the characteristic appearance of the face.
Skin becomes thinner by approximately 6% every ten years. Together with skin thinning, subcutaneous adipose tissue also gets thinner. Wrinkles increase and become more apparent due to gravity and sagging of muscles beneath. In addition to dermis, there are simultaneous effects on the epidermis and subcutaneous adipose tissue. It is not possible to repair all of these in a single attempt, but it is possible to make some corrections and improvements for each of them through different initiatives.
As a result, the substances used in treatment are preventive, restorative and also intended to eliminate underlying causes.
1- Who can undergo this surgery? (Who are candidates?)
Women and men of all ages can benefit from skin rejuvenation. Ideal patients are people with pale and dry skin. Oily skin, brown and brunette patients will be at high risk for pigmentation changes if this is done without proper skin treatment and preparation regardless of the recommended skin renewal method.
2- Alternative options
In addition to skin regeneration attempts in facial rejuvenation, lines of mimic muscles can be paralyzed by some applications and fillers applied to remove other age-related fine lines provide useful results in appropriate patients.
3- Preoperative preparation and evaluation
Will be commenced 2 to 4 weeks before the surgery with the help of various skin conditioning creams, under the supervision of the doctor, in order to reduce the complications that may appear.
4- Anesthesia type
Chemical peeling and laser usually do not require an additional anesthesia. In some cases, simple tranquilizers can be used optionally. Local anesthesia is usually sufficient for dermabrasion.
5- Skin peeling – regeneration application
Chemical skin peeling is applied in two ways: deep and superficial. The one applied with fruit acids is superficial chemical peeling and the one applied by using phenols and trichloroacetic acids is deep peeling.
Superficial chemical peeling can be applied with glycolic acids obtained from sugar beet and lactic acids in milk. The more commonly known names are alpha hydroxy acids. Since they are very small molecules, they can easily pass the epidermis, which is the upper layer of the skin. However, they cannot pass to the lower layer dermis. They stimulate the regeneration of the cells in the epidermis, the upper layer of the skin, and increase their tolerance to external factors. Apart from cellular regeneration, it is also successful in the treatment of superficial stains that have epidermis origin.
Another superficial peeling is the application of salicylic acids. It is mostly used in the treatment of acne, black and white spots and stains. Peeling for the lower layers of the skin can be used in the treatment of deep stains and scars, as well as in the treatment of wrinkles. TCA and phenol are used for this purpose. The depth of the process is determined by adjusting the TCA concentration.
Skin regeneration studies with cutaneous laser has been performed since the early 1990s in the form of CO2 laser and Er: YAG laser. They are used in the treatment of dyschromia and atrophic scars. Skin rejuvenation with laser is more advantageous than many other methods used today. Among these, little or no bleeding at all is an important factor. However, skin regeneration with laser is not a suitable method for everyone. In some cases, chemical peeling and dermabrasion can be considered a more effective method. In fact, all of the skin regeneration methods are based on the same foundation. Firstly, the upper layers of damaged skin are peeled off. Then, the new cells formed during the healing process create a smoother, tighter and younger looking skin surface.
Dermabrasion and dermaplaning are methods of treatment that reconstruct the upper layers of the skin by controlled surgical strips. These treatments give the skin a smoother appearance by softening the unevenness and scars that disrupt the smoothness of the skin’s surface. Dermabrasion is often used to correct traces remaining as a result of previous accidents and operations and fine facial wrinkles seen at the rim of the mouth. It is sometimes applied to remove pre-cancerous formations called keratosis.
Dermaplaning is a method used frequently to treat deep acne scars. Dermabrasion and dermaplaning can both be applied to a small skin area or to the entire face. In addition, being applied as a single procedure, they can be applied together with face lifting, scar smoothing or chemical skin peeling practices.
6- Is there any scar / mark seen after the procedure?
While treatment can certainly improve the appearance of skin, no postoperative marks occurred. However, it is necessary to protect the skin from the effect of sunlight in the early period after the procedure.
7- Risks and side effects of procedure
Complications include color opening, darkening, burns, and other conditions such as herpes virus infection. The most common risk is changes seen in skin pigmentation. Small white spots may occur after the operation. They usually disappear by themselves, but rarely need to be surgically removed. Although infections and scars are very rare in skin repair treatments, they are possible. They are usually removed with the application of steroid-containing drugs that soften the scars.
8- Postoperative care and return to daily life
Your new skin will be a little swollen, delicate and bright pink color for a few weeks. During this time, you can start returning to your normal activities. For 2 weeks the person should avoid from strikes to the skin. Active sports must be stayed away for 4-6 weeks. Protection of the face from wind and chlorinated pool waters is important to keep the skin dry and moist. Most importantly, to ensure proper pigmentation on your face, the skin must be protected from direct harmful effects of sunlight for 6-12 months.